Condylar bony change and self-reported parafunctional habits in prospective orthognathic surgery patients with temporomandibular disorders

Yamada, Kazuhiro; Hanada, Kooji; Fukui, Tadao; Satou, Yuusuke; Ochi, Kanako; Hayashi, Takafumi; Ito, Jusuke

doi:10.1067/moe.2001.117558

Cited by 25 publications

(17 citation statements)

References 36 publications

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“…There are a variety of studies that have reported on the role of parafunctional activities and their association with TMJD (Ciancaglini et al 2001;Huang et al 2002;Villarosa and Moss 1985;Yamada et al 2001), but their conclusions are limited due to the retrospective design used in these studies. A better strategy is to use experience sampling methodology (ESM) to address the hypothesis that TMJD patients engage in high levels of parafunctional activity.…”

Section: Do Patients With Temporomandibular Disorders Engage In Parafmentioning

confidence: 99%

Temporomandibular Disorders and Facial Pain: A Psychophysiological Perspective

Glaros

2008

Appl Psychophysiol Biofeedback

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This article presents a psychophysiological perspective on temporomandibular muscle and joint disorders (TMJD) and facial pain. After a brief introduction to TMJD, the article presents data, largely derived from work carried out in my laboratory, that address four questions: (1) What are the consequences of parafunctional activities? (2) Do TMJD patients engage in parafunctional activities? (3) Why are TMJD patients unaware of these activities? and (4) What are the implications of these findings for treatment? The findings suggest that low-level parafunctions increase pain in otherwise pain-free individuals and can produce symptoms sufficiently severe to meet the diagnostic criteria for TMJD diagnoses of myofascial pain and/or arthralgia. Patients with certain forms of TMJD report very high levels of parafunctional tooth contact. Their lack of awareness of these behaviors may arise from uncertain definitions of the term "clenching", from proprioceptive deficits, or from the presence of adjunctive behaviors. Preliminary work shows that reduction in tooth contact via habit reversal techniques may be a promising mechanism for reducing pain in these patients.

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Section: Do Patients With Temporomandibular Disorders Engage In Parafmentioning

confidence: 99%

Temporomandibular Disorders and Facial Pain: A Psychophysiological Perspective

Glaros

2008

Appl Psychophysiol Biofeedback

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“…12 Frey et al 13 showed that long advancements (.7 mm) and clockwise rotation were associated with increased joint sounds, but no independent association was found. Furthermore, when joint sounds occurred, these declined over the 2-year follow-up period.…”

Section: Discussionmentioning

confidence: 99%

Experiencing your own orthognathic surgery: A personal case report

Mensink

Gooris

Mulder³

et al. 2014

The Angle Orthodontist

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There has been much research on minimizing the side effects of orthognathic surgery. However, there are very few doctors and researchers who themselves have undergone this surgery. This case report describes the findings of a maxillofacial surgeon who underwent combined orthodontic and orthognathic treatment for correction of Class II malocclusion. In March 2012, the surgeon was referred to an orthodontist, and an orthodontic examination revealed a Class II, division 2, malocclusion with a traumatic palatal bite and attrition of the lower front teeth. The patient underwent alignment of the upper and lower arches, followed by a bilateral sagittal split osteotomy. During this treatment, he made many interesting observations and learned much as a patient, which can have implications in improving the outcomes and quality of care for patients receiving such treatment. Thus, this case report aims to provide a critical perspective of the surgical procedure and treatment from the viewpoint of a maxillofacial surgeon who himself experienced the surgery as a patient. (Angle Orthod. 2015;85:890-896.)

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“…However, it has been emphasized that performing orthognathic surgery only on patients with coexisting TMJ pathology can lead to relapse, jaw and facial deformities, pain, headaches, myofascial pain, and masticatory dysfunction. 12 Some authors perform a bimaxillary operation including resection of the involved condyle in the same procedure for actively growing patients. Wolford et al 13 proposed orthognathic surgery and simultaneous high condylectomy to correct the asymmetry.…”

Section: Discussionmentioning

confidence: 99%

Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report

Nevzatoğlu¹,

Koc²,

Alcan³

et al. 2013

Turkish Journal of Orthodontics

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Objective: This case report presents the diagnosis and short-and long-term treatment results of an orthodontically and surgically treated patient with condylar hyperplasia. Materials and Methods: Condylar hyperplasia was diagnosed in an 18-year-old patient. In the clinical and radiologic examination, asymmetrical face, overdevelopment of the head and lengthening of the neck of the right condyle, deviation of the menton to the opposite side, temporomandibular joint pain, occlusal canting, slight open bite in the affected side, and an impacted upper right premolar were detected. Technetium-99 radioisotope scanning was made in 6-month intervals, and surgery was planned and performed. Changes were measured on the cephalograms taken at the beginning of orthodontic treatment, before and after surgery, at the end of fixed treatment, and in 4 years 6 months follow-up period. Results: Skeletal and dental Class I relationship was established and the profile improved. Slight increase of the vertical dimension was observed in the finishing and follow-up cephalograms. Conclusion: In order to decide the appropriate time for surgery for condylar hyperplasia patients in which osteoblastic activity continues, isotope-scanning examination is a must. Short-term results achieved with the orthodontic and surgical treatment were satisfactory and were maintained in the long term. (Turkish J Orthod 2013;26:103-113)

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Condylar bony change and self-reported parafunctional habits in prospective orthognathic surgery patients with temporomandibular disorders

Cited by 25 publications

References 36 publications

Temporomandibular Disorders and Facial Pain: A Psychophysiological Perspective

Temporomandibular Disorders and Facial Pain: A Psychophysiological Perspective

Experiencing your own orthognathic surgery: A personal case report

Short- and Long-Term Evaluation of a Condylar Hyperplasia: A Case Report

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